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HomeMy WebLinkAbout1313 Emigh St - Applications/Addition or Alteration - 05/23/2008BUILDING PERMITS & INSPECTIONS DIVISION ' � * P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building City of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER VU W`-' 3 I � � APPLICATION DATE 5,oy U Job Site Address i�?Zl £ r\1 C�\ Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # -T Last Name 1 ■ WN�;�� e r First Name CaA 'STD C e. Middle J Street Address 3 E W`( at�1 %�. City 1�7` CO v� C) State CO Zip ITOS 2 � CONTRACTOR INFO: Company Name +-Z,Pa;rs UmVtMc Contractor Phone # Lic. Holder Name Lrv\yAo y-(`N k-,,neZ City of Fort Collins `License # Supervisor Cert # Mailing Address 53) � W M-0 g� City rW-JA— State C- Zip Z) 02— LEGAL INFO: Subdivision/PUD Filing # Lot #. CONSTRUCTION INFO: Total Building Sq Ft (not including basement) k 1/op Block # Lot Sq Ft Total Garage Sq Ft 457D Residential Sq Ft Comm] Sq Ft # of Stories_ Bldg Height # Dwelling Units 1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft 50 # of Bedrooms # of Full Baths -2— % Baths /2 Baths # of Fireplaces Air Conditioning: Ye No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door City of Fort Collins Stock Plan # List appropriate option #s UTILITIES INFO: Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No Type of Heat: urGas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) $ ©cN� fl►'IStt�S Description of Work: t r c- Ci rs C-U `T h EK41 a e rc $1 G - / /Arc t)&-G L c I'-- or - a w.a jr?t rM .9--L f,�,-yL� .S�, a :r✓ Contact Name & Phone # of JOBSITE SUPERVISOR: Ma, 7-- 9p "- 0,6 f Subcontractor Info: Electrical cs"o [J oed Mechanical Plumbing `r�> Ll�r nn- r' , Framer f��«� S Roofing �"!► t �/i(M f `�" Concrete Other Applicant: I hereby acknowledge that I have read this application and state th he above information is correct and agree to comply with all requirements contained herein and City of Fort Collins ordinance and state laws regulating building construction. / Applicant Signature Print Name C; �'� e b�,/ �IAC?-Rhone Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater HIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE